Nursing Homes Support Scheme Act 2009

Interpretation.

3.— (1) In this Act, unless the context otherwise requires—

“ ancillary State support ” has the meaning assigned to it by section 15 ;

“ application for State support ” means an application for State support under section 9 (1);

“ approved nursing home ”—

(a) means, before the date on which section 104 of the Health Act 2007 is commenced in so far as that section relates to the repeal of those sections of the Health (Nursing Homes) Act 1990 referred to in Part 1 of Schedule 1 to the Health Act 2007 , a nursing home—

(i) which is registered under the Health (Nursing Homes) Act 1990 ,

(ii) in respect of which there is in force an agreement in writing, between the proprietor of the nursing home and a designated person, as to the maximum amount that will be charged for the provision in the nursing home of such care services as are specified in the agreement which fall within paragraph (a)(ii) of the definition of “long-term residential care services” (or classes of such care services) to those persons who are maintained in the nursing home and who have made an application for State support, and

(iii) in respect of the registered proprietor of which a certificate under section 1095 (as substituted by section 127 (b) of the Finance Act 2002 ) of the Taxes Consolidation Act 1997 is in force,

(b) means, on and after the date referred to in paragraph (a), a nursing home—

(i) which is registered under the Health Act 2007 as a designated centre within the meaning of that Act or in respect of which a person is carrying on the business of the nursing home pursuant to section 69(2), (3) and (4) of that Act,

(ii) in respect of which there is in force an agreement in writing, between the proprietor of the nursing home and a designated person, as to the maximum amount that will be charged for the provision in the nursing home of such care services as are specified in the agreement which fall within paragraph (a)(ii) of the definition of “long-term residential care services” (or classes of such care services) to those persons who are maintained in the nursing home and who have made an application for State support, and

(iii) in respect of the registered provider of which a certificate under section 1095 (as substituted by section 127 (b) of the Finance Act 2002 ) of the Taxes Consolidation Act 1997 is in force;

“approved nursing home agreement”, in relation to care services provided by an approved nursing home, means the agreement referred to in paragraph (a)(ii) or (b)(ii) of the definition of “approved nursing home” which is in force in respect of that nursing home;

“assessed weekly means” has the same meaning as it has in Schedule 1 ;

“ authorised person ” has the same meaning as it has in section 17 ;

“ care needs assessment ”, in relation to a person, means an assessment of the care needs of the person carried out under section 7 ;

“care needs assessment report”, in relation to a person, means the report under section 7 (4) in respect of the care needs assessment of the person;

“ care representative ” means a person appointed to be a care representative pursuant to section 21 ;

“ care services ” means long-term residential care services;

“charge” includes a mortgage;

“child” includes a step-child;

“ cost ”—

(a) in relation to care services provided by the Executive, means the cost, determined by the Executive in accordance with section 33 (3) and (4), of such care services,

(b) in relation to care services provided on behalf of the Executive, means the cost of such care services as referred to in section 33 (5),

(c) in relation to care services provided by an approved nursing home, means the amount charged by the proprietor of that nursing home as respects the provision of care services, being an amount not greater than the maximum amount specified in relation to the provision of care services specified in the approved nursing home agreement entered into by the proprietor of that nursing home;

“couple” has the meaning assigned to it by section 4 ;

“deferred relevant event” has the meaning assigned to it by section 20 ;

“designated person” means the person designated under section 40 ;

“estimated market value” has the meaning assigned to it by Schedule 1 ;

“Executive” means the Health Service Executive;

“financial assessment” means an assessment carried out under section 10 ;

“ financial assessment report ” means the report prepared in accordance with section 10 ;

“financial support” means—

(a) State support,

(b) ancillary State support, or

(c) where applicable, both State support and ancillary State support;

“information” includes—

(a) documents,

(b) without prejudice to the generality of paragraph (a), instruments, certificates and statutory declarations, and

(c) duplicates of any form;

“ long-term residential care services ”—

(a) subject to paragraph (b), means—

(i) maintenance, health or personal care services, or any combination thereof, provided by or on behalf of the Executive to a person—

(I) whilst the person resides in and is maintained in a facility—

(A) that is publicly designated in writing by the Executive as a facility predominantly for the care of older people, which designation shall, subject to section 33 (2), specify the health or personal care services to be provided at that facility, and

(B) in which nursing care is provided on the basis that at no time should there be less than one registered nurse present in the facility who is available to provide nursing care for the persons maintained in the facility, and

(II) subject to subsection (2), for—

(A) a period of not less than 30 consecutive days, or

(B) periods in the aggregate amounting to not less than 30 days within a period of 12 consecutive months, or

(ii) maintenance, health or personal care services, or any combination thereof, provided to a person whilst the person resides in and is maintained in an approved nursing home—

(I) in which nursing care is provided on the basis that at no time should there be less than one registered nurse present in the approved nursing home who is available to provide nursing care for the persons maintained in the approved nursing home, and

(II) subject to subsection (2), for—

(A) a period of not less than 30 consecutive days, or

(B) periods in the aggregate amounting to not less than 30 days within a period of 12 consecutive months,

(b) does not include—

(i) medically acute care and treatment in an acute hospital,

(ii) respite care,

(iii) rehabilitative care for—

(I) a period of less than 12 consecutive months, or

(II) periods in the aggregate amounting to less than 12 months within a period of 24 consecutive months, or

(iv) out-patient services made available pursuant to section 56 of the Health Act 1970 ;

“ Minister ” means the Minister for Health and Children;

“ mortgage ” includes a charge;

“nursing home” has the meaning assigned to it by section 2 of the Health (Nursing Homes) Act 1990 and includes an institution referred to in section 2(1)(h) of that Act;

“ partner ”, in relation to a person who is a member of a couple, means the person who is the other member of the couple;

“ principal residence ” has the meaning assigned to it by Schedule 1 ;

“ proprietor ”—

(a) in relation to a facility referred to in paragraph (a)(i) of the definition of “long-term residential care services”, means the person who has agreed in writing with the Executive to be the proprietor of the facility for the purposes of the performance of the functions imposed under this Act on the proprietor of such a facility,

(b) in relation to an approved nursing home, means the registered proprietor, within the meaning of section 1 of the Health (Nursing Homes) Act 1990 , of the nursing home;

“ registered medical practitioner ” means a registered medical practitioner within the meaning of the Medical Practitioners Act 2007;

“registered nurse” means a person whose name is entered in the register of nurses maintained under section 27 of the Nurses Act 1985;

“relative”, in relation to a person, means a parent, step-parent, child, grandchild, brother, step-brother, sister, step-sister, uncle, aunt, nephew or niece of the person;

“relevant assets” has the meaning assigned to it by Schedule 1 ;

“ relevant event ” has the meaning assigned to it by section 19 ;

“ relevant facility ” means a facility which falls within paragraph (a)(i)(I) of the definition of “long-term residential care services ”;

“ relevant subvention ” has the meaning assigned to it by section 7 (inserted by section 3 of the Health (Nursing Homes) (Amendment) Act 2007 ) of the Health (Nursing Homes) Act 1990 ;

“Scheme” means the Nursing Homes Support Scheme established under section 5 ;

“social insurance contribution” means any contribution which falls within section 6(1)(a), (b), (c) or (d) of the Social Welfare Consolidation Act 2005;

“ specified ”, in relation to a form, means a form specified under section 44 ;

“State support” means a payment made by the Executive in accordance with the Scheme following an application for such support to assist a person in meeting the cost of care services;

“ suitable ”, in relation to a person (who may be an employee of the Executive) and a function to be performed under this Act, means that, in the opinion of the Executive, the person has the necessary qualifications, training or experience, or combination thereof, to perform that function;

“ transfer ”, in relation to an asset or income, means the transfer by sale or gift of that asset or income and references to “ transferred” shall be construed accordingly;

“transferred asset” has the meaning assigned to it by Schedule 1 ;

“transferred income” has the meaning assigned to it by Schedule 1 .

(2) Where the Executive is satisfied that a person who is or is to be provided with care services is unlikely to ever cease to require care services during the person’s lifetime, then paragraph (a)(i)(II) or (a)(ii)(II), as the case may be, of the definition of “long-term residential care services” shall not apply in the case of that person.